Реканализация хронических тотальных окклюзий коронарных артерий: состояние проблемы и собственный опыт

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Abstract

During 7 years by autors have done 527 recanalization of chronic total occlusions of coronary arteries on 481 patients. Average duration of presence occlusion has made 4,5±2,8 years, minimum - 5 months. In 81 (15,4%) cases during operation has been revealed hemodynamic artery occlusion with presence of the minimum channel; remained 446 (84,6%) occlusions concerned «true». At the stenting of 491 occlusioned segment have been used 617 stents with drug covering. In this group of patients restenosis has arisen in 64 (13%) segments. From 2002 to 2004 for recanalization of 36 (16,8%) arteries has been used 41 uncovered stents. In this group restenosis was observed in 18 (50%) segments. At this period (2002 to 2004) by duing 36 suсcessfully recanalisation of chronic total occlusion, there were 23 unsuccessful attempts. Thus, the success results of recanalizating of chronic total occlusion at that period was 61%. During 2004 to 2009 has done 491 successful and 131 unsuccessful recanalization of coronary artery segments. Thus, over the last 5 years we managed to lift success percent of recanalization to 79%.

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Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery